{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T04:57:21Z","timestamp":1782968241011,"version":"3.54.5"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg B"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:p>\n            Objectives\u2003Hearing rehabilitation is an important management aspect of patients undergoing excision of vestibular schwannomas. Studies have shown cochlear implantation (CI) is possible at the time of tumor excision via a translabyrinthine approach. Primary objectives of this report are (1) to review prospective studies pertaining to outcomes of concurrent CI and translabyrinthine tumor removal in detail and (2) perform an aggregate analysis of outcomes for case reports and series.<\/jats:p><jats:p>\n            Design\u2003Systematic review based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.<\/jats:p><jats:p>\n            Setting\u2003Review of literature using PubMed and Cochrane databases.<\/jats:p><jats:p>\n            Participants\u2003Eligibility included patients undergoing translabyrinthine excision of vestibular schwannoma with concurrent CI.<\/jats:p><jats:p>\n            Main Outcome Measures\u2003Open-set speech discrimination scores, sound localization, patient-reported outcome measures.<\/jats:p><jats:p>\n            Results\u2003Forty-one subjects were identified. Two prospective studies have been performed, which showed improvement in speech localization and patient-reported outcome measures. While the majority of patients achieved open set speech recognition, data pertaining to improvement in speech perception were variable. Approximately 85% of subjects had audibility with their CI. Of those that achieved open-set speech discrimination, 75% could be classified as either intermediate or high performers. The majority of low performers in open-set speech either endorsed subjective benefit or demonstrated improvement compared to preoperative measures. There was a high risk of selection and reporting bias.<\/jats:p><jats:p>\n            Conclusions\u2003The majority of patients undergoing translabyrinthine excision of vestibular schwannoma with concurrent CI achieve open set speech perception, with 75% of these patients meeting criteria for being intermediate to high performers. Additional benefits include improved subjective hearing measures, decreased tinnitus, and improved sound localization.<\/jats:p>","DOI":"10.1055\/s-0038-1677491","type":"journal-article","created":{"date-parts":[[2019,1,24]],"date-time":"2019-01-24T23:37:12Z","timestamp":1548373032000},"page":"187-195","source":"Crossref","is-referenced-by-count":21,"title":["Translabyrinthine Excision of Vestibular Schwannoma with Concurrent Cochlear Implantation: Systematic Review"],"prefix":"10.1055","volume":"80","author":[{"given":"Nicholas","family":"Thompson","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\/Head and Neck Surgery, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brendan","family":"O'Connell","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\/Head and Neck Surgery, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\/Head and Neck Surgery, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2019,1,24]]},"container-title":["Journal of Neurological Surgery Part B: Skull Base"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0038-1677491.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,3,28]],"date-time":"2019-03-28T23:33:40Z","timestamp":1553816020000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0038-1677491"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1,24]]},"references-count":0,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2019,3,28]]},"published-print":{"date-parts":[[2019,4]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0038-1677491","relation":{},"ISSN":["2193-6331","2193-634X"],"issn-type":[{"value":"2193-6331","type":"print"},{"value":"2193-634X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1,24]]}}}